{"id":"https://openalex.org/W7166310845","doi":"https://doi.org/10.12775/qs.2026.60.72899","title":"Emergency Department Utilization According to Patient Age and Type of Presenting Complaints: A Narrative Review","display_name":"Emergency Department Utilization According to Patient Age and Type of Presenting Complaints: A Narrative Review","publication_year":2026,"publication_date":"2026-06-26","ids":{"openalex":"https://openalex.org/W7166310845","doi":"https://doi.org/10.12775/qs.2026.60.72899"},"language":"en","primary_location":{"id":"doi:10.12775/qs.2026.60.72899","doi":"https://doi.org/10.12775/qs.2026.60.72899","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.60.72899","pdf_url":"https://apcz.umk.pl/QS/article/download/72899/46801","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://apcz.umk.pl/QS/article/download/72899/46801","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5137501012","display_name":"Micha\u0142 Kurnik","orcid":"https://orcid.org/0009-0008-4791-0630","observed_orcids":["https://orcid.org/0009-0008-4791-0630"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Micha\u0142 Kurnik","raw_affiliation_strings":["Wojew\u00f3dzki Szpital Wielospecjalistyczny Megrez Sp. z o.o. w Tychach"],"raw_orcid":"https://orcid.org/0009-0008-4791-0630","affiliations":[{"raw_affiliation_string":"Wojew\u00f3dzki Szpital Wielospecjalistyczny Megrez Sp. z o.o. w Tychach","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027364393","display_name":"Weronika Grzyb","orcid":"https://orcid.org/0000-0002-9385-7956","observed_orcids":["https://orcid.org/0000-0002-9385-7956"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Weronika Grzyb","raw_affiliation_strings":["Wojew\u00f3dzki Szpital Wielospecjalistyczny Megrez Sp. z o.o. w Tychach"],"raw_orcid":"https://orcid.org/0009-0001-7622-281X","affiliations":[{"raw_affiliation_string":"Wojew\u00f3dzki Szpital Wielospecjalistyczny Megrez Sp. z o.o. w Tychach","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049774594","display_name":"Dominika Grzybowska","orcid":"https://orcid.org/0009-0002-0599-8896","observed_orcids":["https://orcid.org/0009-0002-0599-8896"]},"institutions":[{"id":"https://openalex.org/I4210092283","display_name":"Wojew\u00f3dzki Szpital Specjalistyczny we Wroc\u0142awiu","ror":"https://ror.org/00n1h4322","country_code":"PL","type":"healthcare","lineage":["https://openalex.org/I4210092283"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Dominika Grzybowska","raw_affiliation_strings":["Wojew\u00f3dzki Szpital im. \u015bw.\u0141ukasza w Tarnowie"],"raw_orcid":"https://orcid.org/0009-0002-0599-8896","affiliations":[{"raw_affiliation_string":"Wojew\u00f3dzki Szpital im. \u015bw.\u0141ukasza w Tarnowie","institution_ids":["https://openalex.org/I4210092283"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116088211","display_name":"Jakub Rzeszutek","orcid":"https://orcid.org/0009-0007-7105-1031","observed_orcids":["https://orcid.org/0009-0007-7105-1031"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jakub Rzeszutek","raw_affiliation_strings":["St. Luke's Provincial Hospital in Tarnow, Poland"],"raw_orcid":"https://orcid.org/0009-0007-7105-1031","affiliations":[{"raw_affiliation_string":"St. Luke's Provincial Hospital in Tarnow, Poland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114762592","display_name":"Natalia Niderla","orcid":"https://orcid.org/0009-0001-5041-7846","observed_orcids":["https://orcid.org/0009-0001-5041-7846"]},"institutions":[{"id":"https://openalex.org/I4210092283","display_name":"Wojew\u00f3dzki Szpital Specjalistyczny we Wroc\u0142awiu","ror":"https://ror.org/00n1h4322","country_code":"PL","type":"healthcare","lineage":["https://openalex.org/I4210092283"]},{"id":"https://openalex.org/I4210144914","display_name":"Specjalistyczny Szpital im.E.Szczeklika w Tarnowie","ror":"https://ror.org/05938c493","country_code":"PL","type":"healthcare","lineage":["https://openalex.org/I4210144914"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Natalia Niderla","raw_affiliation_strings":["Szpital Czerniakowski Sp. z.o.o. w Warszawie"],"raw_orcid":"https://orcid.org/0009-0001-5041-7846","affiliations":[{"raw_affiliation_string":"Szpital Czerniakowski Sp. z.o.o. w Warszawie","institution_ids":["https://openalex.org/I4210092283","https://openalex.org/I4210144914"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137497037","display_name":"Adrian Kubicki","orcid":"https://orcid.org/0009-0007-7792-3590","observed_orcids":["https://orcid.org/0009-0007-7792-3590"]},"institutions":[{"id":"https://openalex.org/I4210092283","display_name":"Wojew\u00f3dzki Szpital Specjalistyczny we Wroc\u0142awiu","ror":"https://ror.org/00n1h4322","country_code":"PL","type":"healthcare","lineage":["https://openalex.org/I4210092283"]},{"id":"https://openalex.org/I4210144914","display_name":"Specjalistyczny Szpital im.E.Szczeklika w Tarnowie","ror":"https://ror.org/05938c493","country_code":"PL","type":"healthcare","lineage":["https://openalex.org/I4210144914"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Adrian Kubicki","raw_affiliation_strings":["Szpital Czerniakowski Sp. z o. o. w Warszawie"],"raw_orcid":"https://orcid.org/0009-0007-7792-3590","affiliations":[{"raw_affiliation_string":"Szpital Czerniakowski Sp. z o. o. w Warszawie","institution_ids":["https://openalex.org/I4210092283","https://openalex.org/I4210144914"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089659352","display_name":"Natalia Rachwal","orcid":"https://orcid.org/0000-0003-4224-4794","observed_orcids":["https://orcid.org/0000-0003-4224-4794","https://orcid.org/0000-0003-2252-3809"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Natalia Rachwa\u0142","raw_affiliation_strings":["Wojew\u00f3dzki Szpital Specjalistyczny im. Stefana Kardyna\u0142a Wyszy\u0144skiego SPZOZ w Lublinie"],"raw_orcid":"https://orcid.org/0000-0003-4224-4794","affiliations":[{"raw_affiliation_string":"Wojew\u00f3dzki Szpital Specjalistyczny im. Stefana Kardyna\u0142a Wyszy\u0144skiego SPZOZ w Lublinie","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137498473","display_name":"Adrianna Ja\u015blikowska","orcid":"https://orcid.org/0009-0003-1885-2711","observed_orcids":["https://orcid.org/0009-0003-1885-2711"]},"institutions":[{"id":"https://openalex.org/I4210137323","display_name":"1 Military Clinical Hospital with Outpatient Clinic","ror":"https://ror.org/03pebmm12","country_code":"PL","type":"healthcare","lineage":["https://openalex.org/I4210137323"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Adrianna Ja\u015blikowska","raw_affiliation_strings":["Wojskowy Szpital Kliniczny z Poliklinik\u0105 SPZOZ w Lublinie"],"raw_orcid":"https://orcid.org/0009-0003-1885-2711","affiliations":[{"raw_affiliation_string":"Wojskowy Szpital Kliniczny z Poliklinik\u0105 SPZOZ w Lublinie","institution_ids":["https://openalex.org/I4210137323"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5137512067","display_name":"Kamil Idzik","orcid":"https://orcid.org/0009-0000-7532-9255","observed_orcids":["https://orcid.org/0009-0000-7532-9255"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kamil Idzik","raw_affiliation_strings":["Murcki Hospital in Katowice"],"raw_orcid":"https://orcid.org/0009-0000-7532-9255","affiliations":[{"raw_affiliation_string":"Murcki Hospital in Katowice","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.31868132,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"60","issue":null,"first_page":"72899","last_page":"72899"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14354","display_name":"Emergency Medicine Education and Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-department-use","display_name":"emergency department utilization","score":0.9919999837875366},{"id":"https://openalex.org/keywords/presenting-symptoms","display_name":"presenting symptoms","score":0.984000027179718},{"id":"https://openalex.org/keywords/patient-age","display_name":"patient age","score":0.8960000276565552},{"id":"https://openalex.org/keywords/children","display_name":"children","score":0.5720000267028809},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9179999828338623},{"id":"https://openalex.org/keywords/non-specific-complaints","display_name":"non-specific complaints","score":0.9139999747276306},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.4729999899864197},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.9710000157356262},{"id":"https://openalex.org/keywords/risk-assessment","display_name":"risk assessment","score":0.8420000076293945}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8600999712944031},{"id":"https://openalex.org/C2780838233","wikidata":"https://www.wikidata.org/wiki/Q836925","display_name":"Complaint","level":2,"score":0.7962999939918518},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7436000108718872},{"id":"https://openalex.org/C2781140086","wikidata":"https://www.wikidata.org/wiki/Q557945","display_name":"Confusion","level":2,"score":0.534600019454956},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.4458000063896179},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4368000030517578},{"id":"https://openalex.org/C2986834420","wikidata":"https://www.wikidata.org/wiki/Q5932254","display_name":"Age groups","level":2,"score":0.421099990606308},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.39239999651908875},{"id":"https://openalex.org/C63363279","wikidata":"https://www.wikidata.org/wiki/Q5133848","display_name":"Clinical significance","level":2,"score":0.37059998512268066},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.35420000553131104},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.34689998626708984},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.31360000371932983},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3133000135421753},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.30219998955726624},{"id":"https://openalex.org/C3019871722","wikidata":"https://www.wikidata.org/wiki/Q718944","display_name":"Hospital admission","level":2,"score":0.28119999170303345},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.27720001339912415},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.26840001344680786},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.26010000705718994},{"id":"https://openalex.org/C158154518","wikidata":"https://www.wikidata.org/wiki/Q7310970","display_name":"Relevance (law)","level":2,"score":0.25850000977516174},{"id":"https://openalex.org/C3020442560","wikidata":"https://www.wikidata.org/wiki/Q4971815","display_name":"Broad spectrum","level":2,"score":0.25609999895095825}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.12775/qs.2026.60.72899","doi":"https://doi.org/10.12775/qs.2026.60.72899","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.60.72899","pdf_url":"https://apcz.umk.pl/QS/article/download/72899/46801","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.12775/qs.2026.60.72899","doi":"https://doi.org/10.12775/qs.2026.60.72899","is_oa":true,"landing_page_url":"https://doi.org/10.12775/qs.2026.60.72899","pdf_url":"https://apcz.umk.pl/QS/article/download/72899/46801","source":{"id":"https://openalex.org/S4210230959","display_name":"Quality in Sport","issn_l":"2450-3118","issn":["2450-3118"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["ddh","erih-plus","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310317346","host_organization_name":"Kazimierz Wielki University in Bydgoszcz","host_organization_lineage":["https://openalex.org/P4310317346"],"host_organization_lineage_names":["Kazimierz Wielki University in Bydgoszcz"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quality in Sport","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7166310845.pdf","grobid_xml":"https://content.openalex.org/works/W7166310845.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W1166302173","https://openalex.org/W2011732215","https://openalex.org/W2027363516","https://openalex.org/W2067615092","https://openalex.org/W2069238110","https://openalex.org/W2074352318","https://openalex.org/W2079036163","https://openalex.org/W2100057956","https://openalex.org/W2157192911","https://openalex.org/W2166332563","https://openalex.org/W2339597277","https://openalex.org/W2403304796","https://openalex.org/W2478929174","https://openalex.org/W2531256715","https://openalex.org/W2772919914","https://openalex.org/W2883346848","https://openalex.org/W2888970663","https://openalex.org/W2947186252","https://openalex.org/W2989528546","https://openalex.org/W3096103962","https://openalex.org/W3119815591","https://openalex.org/W3161366140","https://openalex.org/W3195421806","https://openalex.org/W3215925539","https://openalex.org/W4293170995","https://openalex.org/W4296211096","https://openalex.org/W4296325115","https://openalex.org/W4308938260","https://openalex.org/W4390540202","https://openalex.org/W4401289172","https://openalex.org/W4403703605"],"related_works":["https://openalex.org/W3195421806","https://openalex.org/W4413118280","https://openalex.org/W4392846675","https://openalex.org/W2969110569","https://openalex.org/W1984308861","https://openalex.org/W2049154715","https://openalex.org/W4296325115","https://openalex.org/W590431340","https://openalex.org/W4318668356","https://openalex.org/W2093021231"],"abstract_inverted_index":{"Background:":[0],"The":[1,104,209,238],"number":[2],"of":[3,21,106,129,180,225,252,269],"patients":[4,50,157,256],"presenting":[5,45,77,107,226,239],"to":[6,29,55,73],"hospital":[7],"emergency":[8],"departments":[9],"(EDs)":[10],"has":[11],"been":[12],"consistently":[13],"increasing.":[14],"Patients":[15],"present":[16],"with":[17,38,59,120,160,190,196,245,257],"a":[18,161,214,249,264],"wide":[19],"spectrum":[20,105,151],"complaints,":[22],"from":[23],"specific":[24],"symptoms":[25],"directing":[26],"diagnostic":[27],"evaluation":[28],"entirely":[30],"non-specific":[31,170,258],"ones,":[32],"and":[33,43,54,63,88,137,140,143,155,176,192,199,228],"their":[34,57,116,187,229],"clinical":[35,60,230],"relevance":[36],"varies":[37],"age.":[39,121,130,220],"Aim:":[40],"To":[41],"summarize":[42],"compare":[44],"complaints":[46,78,108,134,171,203,227,259],"reported":[47],"by":[48],"ED":[49,80,122,234],"across":[51,112],"age":[52,113,191],"groups":[53],"discuss":[56],"association":[58],"outcomes.":[61,271],"Material":[62],"methods:":[64],"A":[65],"literature":[66],"search":[67],"was":[68],"performed":[69],"in":[70,79,232],"PubMed":[71],"(MEDLINE)":[72],"identify":[74],"publications":[75],"on":[76,219],"patients.":[81],"Case":[82],"reports,":[83],"case":[84],"series,":[85],"letters,":[86],"editorials,":[87],"commentaries":[89],"were":[90,96,101],"excluded.":[91],"Only":[92],"English-language":[93],"full-text":[94],"studies":[95],"included;":[97],"no":[98],"date":[99],"restrictions":[100],"applied.":[102],"Results:":[103],"is":[109,124,152],"broadly":[110],"similar":[111],"groups,":[114],"whereas":[115],"frequency":[117,224],"differs":[118],"substantially":[119],"utilization":[123],"highest":[125],"at":[126,266],"the":[127,150,181,223,233],"extremes":[128],"In":[131,148,167],"children,":[132],"infectious":[133],"(fever,":[135],"respiratory":[136],"gastrointestinal":[138],"symptoms)":[139],"injuries":[141],"dominate,":[142],"hospitalization":[144,198],"rates":[145,201],"are":[146,158,194,235],"low.":[147],"adults,":[149,169],"more":[153,207],"heterogeneous,":[154],"many":[156],"discharged":[159],"symptom-based":[162],"rather":[163],"than":[164,202],"definitive":[165],"diagnosis.":[166],"older":[168],"such":[172],"as":[173,206,248,263],"fatigue,":[174],"weakness,":[175],"confusion":[177],"become":[178],"one":[179],"most":[182],"common":[183],"reasons":[184],"for":[185],"presentation;":[186],"proportion":[188],"rises":[189],"they":[193],"associated":[195],"higher":[197],"mortality":[200],"traditionally":[204],"regarded":[205],"urgent.":[208],"same":[210],"complaint":[211,240],"may":[212],"carry":[213],"markedly":[215],"different":[216],"prognosis":[217],"depending":[218],"Conclusions:":[221],"Both":[222],"consequences":[231],"strongly":[236],"age-dependent.":[237],"should":[241],"be":[242],"interpreted":[243],"together":[244],"patient":[246],"age,":[247],"complementary":[250],"component":[251],"risk":[253,268],"assessment.":[254],"Older":[255],"warrant":[260],"particular":[261],"attention":[262],"group":[265],"increased":[267],"adverse":[270]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-06-28T00:00:00"}
